scholarly journals Ocular Tuberculosis with Multiple Cerebral Abscesses

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Saidin Nor-Masniwati ◽  
Embong Zunaina ◽  
Yaakub Azhany
Keyword(s):  
Maintenance Phase ◽  
Mantoux Test ◽  
Significant Finding ◽  
Ocular Tuberculosis ◽  
Night Sweats ◽  
Normal Chest ◽  
One Year ◽  
Loss Of Appetite ◽  
The Right ◽  
Choroidal Tuberculoma

A 23-year-old Malay man presented with headache for one-month duration. It was associated with painless blurring of vision of the right eye. He had loss of appetite and reduced weight but no night sweats or hemoptysis. His visual acuity on the right eye was 6/45 and improved to 6/15 with pinhole. Right fundus examination revealed a choroidal tuberculoma located at one disc diameter away from optic disc superiorly with mild vitritis. Systemic examinations revealed no significant finding. Mantoux test reading was 22 mm with erythrocyte sedimentation rate that was 14 mm/h. Other blood investigations were negative with normal chest radiography. The computerized tomography scan of the brain revealed multiple cerebral abscesses. A clinical diagnosis of right ocular tuberculosis with multiple cerebral abscesses was made. He was treated with antituberculosis chemotherapy for one year which divided into intensive phase for three months and maintenance phase for nine months. Cerebral abscesses resolved after three months of antituberculosis drugs and at one-year follow-up, and the choroidal tuberculoma resolved completely with scar formation and significant macular striae.

scholarly journals Appearances Can Be Deceiving: What Is the Diagnosis for this Community-Acquired Pneumonia?

2001 ◽  
Vol 12 (1) ◽  
pp. 45-46
Author(s):  
Frank YH Lin ◽  
Coleman Rotstein
Keyword(s):  
Chest Pain ◽  
Asbestos Exposure ◽  
Community Acquired Pneumonia ◽  
Upper Respiratory Tract ◽  
Pleuritic Chest Pain ◽  
Northern Ontario ◽  
Local Physician ◽  
Night Sweats ◽  
Loss Of Appetite ◽  
The Right

A and asbestos exposure (in the 1970s) presented to the emergency department with a one-month history of progressive dyspnea, right-sided pleuritic chest pain, cough productive of white-coloured sputum and malaise. His health problems had commenced four months before presentation while he was vacationing at a northern Ontario resort. At that time, he had felt unwell and had developed a fever with rightsided pleuritic chest pain that radiated to his right shoulder. The diagnosis was an upper respiratory tract infection, made by the local physician; the patient was treated with a 10-day course of cephalexin. Although his condition had initially improved after the antibiotic therapy, during the month before presentation he had experienced increasing fatigue, cough with clear sputum production and a loss of appetite. He also developed worsening right-sided pleuritic chest pain that radiated to the right shoulder, dyspnea and orthopnea. He had no nausea, vomiting, diarrhea or hemoptysis. However, he had lost 4 kg and had drenching night sweats over the previous three and a half months. Further history revealed that he had drunk well water during his vacation in northern Ontario and that several families who were with him at that time also became ill, although he was not aware of the nature of their symptoms.

scholarly journals Case study on management of Menopausal Syndrome with Ayurvedic formulations and Pranayama.

2021 ◽  
Vol 9 (01) ◽  
Author(s):  
Sonali Gargi
Keyword(s):  
Surgical Intervention ◽  
Therapeutic Effects ◽  
Menopausal Syndrome ◽  
Ayurvedic Drugs ◽  
Breathing Techniques ◽  
Associated Symptoms ◽  
Night Sweats ◽  
One Year ◽  
Loss Of Appetite

           Each substance in universe undergoes this law which is 'Uttpatti-Sthiti-Laya'. In women‟s life menopause is the most significant event which occurred naturally at the age around 45-55 years. WHO has defined postmenopausal women as those women who have stopped menstrual bleeding one year ago or stopped having periods as a result of medical or surgical intervention like hysterectomy, oophorectomy.It is natural and permanent stopping of the monthly menstrual cycle in female.Like menarche, menopause is also an important developmental event in women's life with physical and psychological changes.Menopausal woman suffer from many symptoms such as hot flushes, insomnia, palpitations,mood swings, weight gain, muscle pain,vaginal dryness, night sweats etc.along with associated symptoms like loss of appetite, fatigue.Hormone replacement therapy (HRT) is most effective therapy but has other side effects whenbthere is long use of it. Considering the limitations of HRT, present need is to research about Ayurvedic Formulations which act better on reproductive system as well as hormonal balance.Management of menopausal symptoms in the form of non hormonal drug therapy by using Ayurved and pranayamas is one of best option people preffering now-a-days. In Ayurvedic literature it is described under a heading of Rajonivrutti and various beneficiary measures are mentioned for treatment of rajonivrutti anubandhit vyadhies (postmenopausal syndrome). This study was done to evaluate the efficacy of drugs which are used in postmenopausal syndrome. The treatment was conducted for the duration of 3 months. The response to the treatment was recorded and therapeutic effects were evaluated with the help of symptomatic relief.The results show that the postmenopausal syndrome can be better managed with ayurvedic drugs and can avoid HRT and their side effects.In Ayurveda there are various formulations which are effectively work on those symptoms and help to reduce it.Along with those formulations, Pranayama including different breathing techniques also play an important role to recover psychological changes during menopause.      

scholarly journals Difficulties in diagnosis of tuberculosis without bacteriologic confirmation in a 15-year-old boy from contact with a patient with tuberculosis: A case report

2018 ◽  
Vol 75 (5) ◽  
pp. 516-520
Author(s):  
Gordana Kostic ◽  
Rasa Medovic ◽  
Slavica Markovic ◽  
Zorica Raskovic ◽  
Zoran Igrutinovic ◽  
...  
Keyword(s):  
Case Report ◽  
Gastric Lavage ◽  
Histochemical Staining ◽  
Interferon Gamma Release Assay ◽  
Healthy Children ◽  
Quiet Breathing ◽  
Night Sweats ◽  
Lowenstein Jensen ◽  
Loss Of Appetite ◽  
The Right

Introduction. After the contact with a patient suffering from tuberculosis (TB), previously healthy children have 1%?16% possibility to develop the disease. TB diagnosis in children is not easy to confirm so 15%?25% of cases remain undiagnosed. Case report. A 15-yearold- boy was hospitalized with productive cough, pain in the right flank area, fever, and fatigue, loss of appetite and night sweats. One of the boy's uncles was cured of tuberculosis, another uncle had active tuberculosis and both of them were in contact with the boy, but they did not live in the same household. During the physical examination, the child was febrile, with dyspnea, pale, with profuse sweating, debilitate. BCG (Bacillus Calmette ? Gu?rin) scar was present. The auscultatory findings of the lungs showed quiet breathing from the scapula to the right lung base and chest radiography suggested massive right sided pleuropneumonia. The parameters of the inflammation were high and Mycobacterium tuberculosis (MTB) was not found in the samples of sputum and gastric lavage. Pleural puncture revealed exudative nature in the aspirated fragment. Cytology was nonspecific, the MTB was not found and the planted surfaces on Lowenstein-Jensen remained sterile. Tuberculin skin test (TST) ? Mantoux was positive (+ 10 mm), Interferon Gamma Release Assay (QuantiFERON- TB GOLD In-Tube) was negative. The boy was unsuccessfully treated with broad spectrum antibiotics. By video-assisted thoracoscopy, the pleural tissue clip confirmed the benign chronic granulomatous process, while histochemical staining did not show MTB. The treatment with anti-TB medication led to clinical and radiographic recovery. The boy is now in good general condition, without consequences of the disease. Conclusion. This case report pointed out the importance of risk factors and difficulties in diagnosing TB in children.

scholarly journals Pulmonary Involvement in Brucellosis

2012 ◽  
Vol 23 (1) ◽  
pp. e13-e15 ◽  
Author(s):  
Mehmet Uluğ ◽  
Nuray Can-Uluğ
Keyword(s):  
Rare Event ◽  
Lower Lobe ◽  
Pulmonary Involvement ◽  
Reticuloendothelial System ◽  
Residual Effects ◽  
Breath Sounds ◽  
Chest Auscultation ◽  
Night Sweats ◽  
One Year ◽  
The Right

BACKGROUND: Brucellosis is a zoonotic disease caused by a Gram-negative bacillus of theBrucellagenus with multisystem involvement, primarily affecting the reticuloendothelial system, joints, heart and kidneys. Although the disease can be spread by inhalation, pulmonary involvement is rare.OBJECTIVE: To report a case of brucellosis with pulmonary involvement.CASE PRESENTAION: A previously healthy 36-year-old woman was admitted with complaints of fever, weakness, night sweats, dry cough and bilateral chest pain. She hed been diagnosed with pneumonia 20 days previously and was started on a course of ampicillin for 14 days, with no response. Her chest auscultation revealed diminished breath sounds and scattered crackles and rhonchi over the inferior zone of the right hemithorax. Wright and Coombs testing resulted in titres of 1:1280 and 1:640, respectively. Chest radiography revealed an area of confluent lobar consolidation in the right lower lobe. Treatment was started with a six-week course of oral doxycycline 200 mg/day and rifampicin 600 mg/day. This treatment regimen rapidly improved the patient’s condition. Follow-up after one year showed no residual effects from the infection.CONCLUSION: Pulmonary involvement is a rare event in the course of brucellosis, but the rate could be higher than currently estimated. In endemic regions, brucellosis should be considered as a causative agent in patients with pulmonary symptoms.

scholarly journals Choroidal Tuberculoma in a Healthy Immunocompetent Patient

2021 ◽  
Vol 13 (2) ◽  
pp. 202-206
Author(s):  
Hara Maya Gurung ◽  
Krishna Gurung ◽  
Anju Gurung ◽  
Indraman Maharjan ◽  
Eliya Shrestha ◽  
...  
Keyword(s):  
Rare Event ◽  
Immunocompetent Patient ◽  
Mantoux Test ◽  
Diagnostic Dilemma ◽  
Ocular Tuberculosis ◽  
Systemic Involvement ◽  
Chief Complaints ◽  
Laboratory Investigations ◽  
Choroidal Tuberculoma ◽  
Chorioretinal Scar

Introduction: Ocular tuberculosis as choroidal tuberculoma is a rare event. It creates a clinical diagnostic dilemma when there is no systemic involvement.  Case: A 22-year-old man  presented with the chief complaints of discomfort and blurring of vision of right eye for one week. On fundus examination under mydriatics of his right eye, a solitary mass which measured approximately 2DD (Disc Diameter) was appreciated at the superotemporal quadrant with the surrounding localized retinal detachment. Choroidal tuberculoma was suspected by a positive Mantoux test. Physician consultation and laboratory investigations ruled out the pulmonary and systemic manifestation of tuberculosis and other aetiology. Anti-tubercular treatment was started and this led to the improvement of vision and shrinkage of the choroidal mass into a flat chorioretinal scar at 3 months of anti-tubercular treatment .  Conclusion: Solitary choroidal tuberculoma though rare, can occur in a healthy, immunocompetent patient.

scholarly journals Recovery from Transient Global Amnesia Following Restoration of Hippocampal and Fronto–Cingulate Perfusion

2010 ◽  
Vol 22 (3-4) ◽  
pp. 131-139 ◽  
Author(s):  
Paolo Caffarra ◽  
Letizia Concari ◽  
Simona Gardini ◽  
Sabrina Spaggiari ◽  
Francesca Dieci ◽  
...  
Keyword(s):  
Acute Phase ◽  
Neuropsychological Testing ◽  
Transient Global Amnesia ◽  
Normal Limits ◽  
Global Amnesia ◽  
One Year ◽  
The Right ◽  
Rcbf Spect ◽  
Subject Comparison

A patient who suffered a transient global amnesia (TGA) attack underwent regional cerebral blood flow (rCBF) SPECT imaging and neuropsychological testing in the acute phase, after one month and after one year. Neuropsychological testing in the acute phase showed a pattern of anterograde and retrograde amnesia, whereas memory was within age normal limits at follow up. SPECT data were analysed with a within subject comparison and also compared with those of a group of healthy controls. Within subject comparison between the one month follow up and the acute phase detected increases in rCBF in the hippocampus bilaterally; further rCBF increases in the right hippocampus were detected after one year. Compared to controls, significant hypoperfusion was found in the right precentral, cingulate and medial frontal gyri in the acute phase; after one month significant hypoperfusion was detected in the right precentral and cingulate gyri and the left postcentral gyrus; after one year no significant hypoperfusion appeared. The restoration of memory was paralleled by rCBF increases in the hippocampus and fronto-limbic-parietal cortex; after one year neither significant rCBF differences nor cognitive deficits were detectable. In conclusion, these data indicate that TGA had no long lasting cognitive and neural alterations in this patient.

Transcatheter closure of defects within the oval fossa using the Amplatzer® Septal Occluder

2002 ◽  
Vol 12 (3) ◽  
pp. 224-228 ◽  
Author(s):  
Haifa Abdul Latiff ◽  
Mazeni Alwi ◽  
Hasri Samion ◽  
Geetha Kandhavel
Keyword(s):  
Transcatheter Closure ◽  
Standard Procedure ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Term Outcome ◽  
Long Term Follow Up ◽  
One Year ◽  
The Right

This study reviewed the short-term outcome of transcatheter closure of the defects within the oval fossa using an Amplatzer® Septal Occluder. From January 1997 to December 2000, 210 patients with defects within the oval fossa underwent successful transcatheter closure. We reviewed a total of 190 patients with left-to-right shunts, assessing the patients for possible complications and the presence of residual shunts using transthoracic echocardiogram at 24 h, 1 month, 3 months and one year. Their median age was 10 years, with a range from 2 to 64 years, and their median weight was 23.9 kg, with a range from 8.9 to 79 kg. In 5 patients, a patent arterial duct was closed, and in 2 pulmonary balloon valvoplasty performed, at the same sitting. The median size of the Amplatzer® device used was 20 mm, with a range from 9 to 36 mm. The median times for the procedure and fluoroscopy were 95 min, with a range from 30 to 210 min, and 18.4 min, with a range from 5 to 144 min, respectively. Mean follow-up was 20.8 ± 12.4 months. Complete occlusion was obtained in 168 of 190 (88%) patients at 24 h, 128 of 133 (96.2%) at 3 months, and 103 of 104 (99%) at one year. Complications occurred in 4 (2.1%) patients. In one, the device became detached, in the second the device embolized into the right ventricular outflow tract, the lower end of the device straddled in the third, and the final patient had significant bleeding from the site of venupuncture. There were no major complications noted on follow-up. We conclude that transcatheter closure of defects within the oval fossa using the Amplatzer® Septal Occluder is safe and effective. Long-term follow-up is required, nonetheless, before it is recommended as a standard procedure.

AVASCULAR NECROSIS OF THE TRIQUETRUM: A CASE REPORT

Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 91-94 ◽  
Author(s):  
Y. C. POR ◽  
W. Y. CHEW ◽  
I. Y. Y. TSOU
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Total Ischemia ◽  
One Year ◽  
The Right

A case of total ischemia of the triquetrum after a crushing injury to the right wrist by a dumbbell is reported. He was treated conservatively with splinting and analgesia. There was complete clinical and radiological recovery after a follow-up of one year.

Difficulty removing dialysis cuff catheter after its adhesion to the right atrium

2021 ◽  
pp. 112972982199398
Author(s):  
Tomonari Ogawa ◽  
Megumi Inamura ◽  
Yuichiro Kawai ◽  
Ryo Yamamoto ◽  
Kunihiko Yasuda ◽  
...  
Keyword(s):  
Blood Flow ◽  
Right Atrium ◽  
Interventional Therapy ◽  
Dialysis Treatment ◽  
Japanese Female ◽  
Difficulty Breathing ◽  
Elderly Japanese ◽  
One Year ◽  
The Right ◽  
Clinic Hospital

We describe the case of an elderly Japanese female who had experienced diabetic nephropathy since the year 20xx and had been undergoing dialysis treatment while receiving vascular access interventional therapy (VAIVT) for arteriovenous fistula (AVF) occlusion. The patient visited the clinic/hospital in 20xx+10 with the AVF occlusion; emergency VAIVT was performed but blood flow could not be resumed. The patient was not admitted and was treated as an outpatient, and thus a cuff catheter (Split stream catheter: SST28 cm, Medcomp) was inserted. An infection developed and was successfully treated with antibiotics. The dialysis treatment continued without issue. One year after the cuff catheter’s insertion, the patient was admitted due difficulty breathing. Despite continued dialysis treatment with the catheter, the patient died 15 days post-admission. The removal of the catheter proved to be difficult. An autopsy was approved, and the area around the catheter was examined. The adhesion of the catheter to the right atrium was observed, but no infection was detected in the bloodstream. This case illustrates that dialysis with the use of a cuff catheter can be effective.

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